Archived: Park Health Care Centre

Updated 17 May 2016

Park Health Centre, is located in the east of the city of Hull and provides services under a General Medical Services (GMS) contract with NHS England, Hull Area Team to the practice population of 2,298 covering patients of all ages.The practice is located in a modern purpose built building that houses other GP practices. The building is accessible by public transport links being on a main road. There is designated free parking for the practice. The building has disabled access and facilities including a lift. The GP consultation rooms are located on the ground floor and the nurse’s consultation room is on the first floor. There is an induction loop for people that are hard of hearing.

There are two partners at the practice, one male and one female. There is a part time practice nurse and a health care assistant . Locum GPs are very occasionally used to cover leave and sickness. There is a full time practice manager and four part time administrative and reception staff.

The practice is open between is open Monday to Friday between 8am and 6.30pm. The practice, along with all other practices in the Hull CCG area have a contractual agreement for NHS 111 service to provide Out of Hours (OOHs) services from 6.30pm. This has been agreed with the NHS England area team.

There is a child/baby clinic every Wednesday morning where children under the age of five can be seen without an appointment. There is a health visitor and nurse for these clinics.

The practice scored two on the deprivation measurement scale, which is the second lowest deprived. People living in more deprived areas tend to have greater need for health services. The overall practice deprivation score is higher than the England average, the practice is 40.1 and the England average is 21.8.

Updated 17 May 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Park Health Care Centre on 18 February 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
• Staff had the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.
• Most patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management.
• The practice proactively sought feedback from patients, which it acted on. The practice had an active Patient Participation Group (PPG).

The areas where the provider must make improvements are:

• Recruitment arrangements must include all necessary employment checks for all staff.

The areas where the provider should make improvement are:

• Systems must be in place for identifying and monitor the completion of training for all stall in order for them to carry out their duties effectively and safely.

• There must be mechanisms in place to manage and monitor the prevention and control of infection.

• The provider should ensure there is an effective audit system in place to ensure audits are undertaken regularly and lessons are learned and implemented.

• An effective system should be in place to review complaints and evidence changes made as a result of the analysis completed.

• A mechanism should be in place to allow meetings to take place on a regular basis, are minuted, actions are followed up and all staff are included.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 17 May 2016

The practice is rated as good for the care of people with long-term conditions.

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

• Nationally reported data for 2014/2015 showed that outcomes for patients with long term conditions were generally good. However, performance for diabetes related indicators was 77%, this was below the local CCG and national average.

• Longer appointments and home visits were available when needed.

• Appointments could be arranged to take place in people’s homes or by telephone.

• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

• The practice maintained a close relationship with the long term conditions team and undertook regular meetings to discuss patient’s needs.

• All diagnosed cancer patients were discussed at ‘gold standard’ meetings which is where end of life discussions take place.

• Patients with long term conditions were asked to attend regular medication reviews and health checks.

Updated 17 May 2016

The practice is rated as good for the care of families, children and young people.

• Children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.

• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations.

• Nationally reported data from 2014/2015 showed patients diagnosed with asthma, on the register, who had an asthma review in the last 12 months was 71.1%, which was 4.7% below the local CCG average and 4.2% below the national average.  

• Nationally reported data from 2014/2015 showed the practice’s uptake for the cervical screening programme was 99%, which was 0.3% above the local CCG average and 1.3% above the national average. Appointments were available outside of school hours and the premises were suitable for children and babies.

• All children under five were prioritised and offered same day appointments. After school appointment were available.

• We saw positive examples of joint working with midwives, health visitors and school nurses.

• All ante and post-natal, as well as baby check for 6-8 weeks were undertaken by the GPs

• There was a weekly nurse led immunisation clinic or more regularly if needed. The practice nurse was trained in immunisations.

• Contraception advice was offered as well as for the pill and injections. Referrals were made for coils or implants.

• There was a safeguarding policy and procedure for children and young people and all staff were trained to Safeguarding level 2, with the GPs trained to Safeguarding level 3.

Updated 17 May 2016

The practice is rated as good for the care of older people.

• The practice offered proactive, personalised care to meet the needs of the older people in its population.

• The practice was responsive to the needs of older people, and offered home visits and urgent and longer appointments for those with enhanced needs.

• Telephone appointments were available to older people as well as advice over the telephone when a face to face appointment was not necessary.

• The practice worked closely with the community nursing teams, social services, carer’s association and the medicines management team.

• The practice maintained a carer’s register and consent to medical information to help family members and carers to access medical information if necessary.

• Every elderly patient was offered a routine health check every two years if they have not been seen by the practice or any community service.

• All over 75s were informed of their named GP by letter before their 75th birthday.

• All older people were offered annual influenza, pneumonia and shingles vaccines.

• Staff followed up informally on older people who had been absent from the practice or had missed appointments.

Updated 17 May 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.

• Advice on healthy lifestyles such as diet, smoking, exercise and alcohol was given and any appropriate referrals made.

Updated 17 May 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia)

• Nationally reported data from 2014/2015 showed 86.7% of people diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months. This was 1.2% above the local CCG and 2.7% above the national average.

• Nationally reported data from 2014/2015 showed the percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who had a comprehensive care plan documented in their record, in the preceding 12 months was 100%. This was 11.8% above the local CCG and 11.7% above the national average.

• The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia.

• The practice carried out care planning for patients with dementia.

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

• Staff had a good understanding of how to support patients with mental health needs and dementia.

• All patient experiencing poor mental health were offered a referral to ‘Let’s talk’, an initiative coordinated by the local CCG offering advice, support and referrals to counselling and mental health services.

• All staff had received training in dementia awareness from the dementia academy and the practice is a member of the dementia alliance.

• Information about mental health was available in the waiting area.

Updated 17 May 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including homeless people, travellers and those with a learning disability.

• The practice offered longer appointments for patients with a learning disability.

• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.

• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.

• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.

• The practice offered an annual health check for people with a learning disability ensuring their needs were documented in their well-being record book.